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Sovereign AI for
Insurance
Stop claims fraud before it pays out, keep more of the renewal book, and move each claim file without re-keying, all inside your own walls. Predictive, generative, and agentic AI in one platform, in production at insurers including Progressive and IFFCO-Tokio.
- H2O gives P&C, commercial and life insurers one platform for three problems: claims fraud, policyholder retention and claims intake.
- Non-health insurance fraud costs the US more than $40 billion a year, adding $400 to $700 in premiums per US family per year, according to the FBI.
- IFFCO-Tokio saves $1M a year on claims fraud with H2O, catches 100 times more fraudulent claims a month, and lifted customer retention 3% within one month.
- Progressive runs churn, billing, fraud detection and threat analysis models on H2O across 14 billion telematics miles, as published in the 2019 H2O insurance executive brief.
- The H2O Sovereign AI Platform sits on top of the policy and claims systems already in place and works beside the actuarial function, never against either.
H2O AI delivers business value fast
- 01Cut claims fraud and leakageScore every claim above your screening rules and flag the anomalies before payment. Each flag arrives as a drafted case, so SIU referrals start stronger.
- 02Keep more of the renewal bookSee lapse risk and its driver early, then match each retention offer to the reason a policyholder would leave. Every score is documented for actuaries.
- 03Shorten the claim cycleRead the first notice of loss packet and move the file between systems without re-keying. Your adjuster still makes every decision on the claim.
- 04Price and underwrite risk fasterScore submissions and renewals with explainable models, and clear routine risks faster. Your underwriters spend their time on the complex files instead.
“With H2O we are able to build many models in a much shorter period of time.”Pawan DivakarlaData and Analytics Business Leader, Progressive
Key problems we solve for insurance
Claims fraud
Claims fraud, staged losses and premium leakage cost US insurers more than $40 billion a year outside health insurance, by FBI estimate. Rules-based screening only catches the schemes it already describes. Score every claim before it pays out, and send your SIU the ones that do not fit.
Use the H2O AI platform to put explainable models above your existing screening rules, built in H2O Driverless AI, our AutoML tool. The H2O AI Super Agent turns each flagged claim into a drafted case for your SIU. The models work beside the rules you already run, not instead of them.
Policyholder retention
Most carriers run one churn model, generate a list, and hand expensive incentives to policyholders who were never going to leave. Persistency and retention are the numbers that move the renewal book. Reach the policyholders who are actually at risk, with an offer that answers their reason for leaving.
Use the H2O AI platform to score lapse propensity and the driver behind it, then match each retention offer to the reason a policyholder would leave. Every score comes with its driver documented to file, so your actuaries, your agents and your regulator can all read the same explanation.
Agentic automation
A first notice of loss arrives as forms, photos, reports and emails, and someone reads it, re-keys it and routes it. Claim cycle time and touches per file are the numbers your COO already reports. Set an agent on the intake, from the first notice to the adjuster's desk.
Use the H2O AI Super Agent to read each packet with H2O Document AI, check it against the policy's coverage, and triage it: simple claims to a fast track, complex ones to an adjuster with a drafted summary. It runs on top of Guidewire or Duck Creek, and your adjuster decides every claim.
Use cases by department
Each part of the business has its own problems, data, and rules. Start with your department.
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Questions people ask before they call us
H2O gives P&C, commercial and life insurers one platform for three problems: claims fraud, policyholder retention and claims intake. Explainable models score claims and lapse risk with the driver documented to file, and the H2O AI Super Agent reads first notice of loss packets and moves each file between systems. Your adjusters and underwriters make every decision.